48670 research outputs found
Sort by
Penn Library\u27s LJS 387 - al-Qāmūs al-muḥīṭ. = القاموس المحيط. (Video Orientation)
No full texthttps://repository.upenn.edu/sims_video/1143/thumbnail.jp
Collation Model for LJS 223: Questiones logicales ... [etc.] [manuscript].
Get PDFCollection of Aristotelian works and other philosophical works, including works on logic; short tracts (some incomplete) on Aristotle\u27s Categories, De interpretatione, and Posterior analytics; and several works on Aristotle\u27s Physics (including commentaries by Antonius Carpentier on both the Physics and the introduction to the Physics by Jacques Lefèvre d\u27Etaples published in 1492), this last group (f. 148v-206r) being more decorated than the rest of the manuscript. The beginning of the Reportata in Logicam Aristotelis has a marginal commentary (f. 22r-29v); in the rest of the manuscript, headings and notes are written in the margins.https://repository.upenn.edu/sims_models/1052/thumbnail.jp
Collation Model for Ms. Codex 318: [Trattato dei peccati mortali]
Get PDFTreatise on the seven deadly sins. Also includes a treatise on the nine laws of the Church, between the sections on superbia and invidia. After the last of the sections on the seven sins (luxuria) there is a treatise on I boti [i.e., voti]. The beginning of the manuscript, possibly an entire quire, is missing.https://repository.upenn.edu/sims_models/1068/thumbnail.jp
Recovery Support Services in Substance Use Treatment Completion
No full textRECOVERY SUPPORT SERVICES
IN SUBSTANCE USE TREATMENT COMPLETION
Brett S. Bartruff, University of Pennsylvania
Dr. Malitta Engstrom, Dissertation Chair, University of Pennsylvania
Dr. James R. McKay, Dissertation Committee Member, University of Pennsylvania
Purpose: This study aims to understand the relationship between recovery support services provided by certified peers and clients’ length of time in and completion of substance use treatment. While many innovations in the treatment of substance use have helped improve outcomes for people with substance use disorders, length of time in treatment and completion of treatment continue to be low. Responses to enhance treatment engagement include recovery support programs that are staffed by people with lived experience of substance use and recovery; however, research in this area is limited.
Methods: This study involves an archival chart review from a western state community mental health agency in the United States. Data for the study are from the agency’s electronic medical record during a 24-month period between January 1, 2018 and December 31, 2019. The sample (N=1,007) is comprised of clients who engaged in substance use treatment at the agency during the 24-month inclusion period. The study compares people in substance use treatment who chose to receive recovery support peer services (n=216) with people who opted out (n=791). Because there were statistically significant differences between the two groups, a subsample comparison group was created using a one-to-one match from the peer and non-peer groups across four variables (n=408), which included gender, prior treatment, co-occurring psychiatric disorder, and opioid use. To test treatment effects across groups (people who received peer services and the matched no-peer services comparison group), an independent sample t-test was used to test the difference in length of treatment and a chi-square test of independence was used to examine treatment completion. Additionally, to test treatment effects across peer services groups (people who received peer services and the matched no-peer services comparison group) while controlling for demographic and clinical characteristics, two hierarchical regression analyses were used to test the predictive value of peer services on length of stay in treatment and treatment completion. To test treatment effects in the peer-services group, multivariable regression analysis was used to test two models, one for each dependent variable, length of treatment and treatment completion.
Results: This study’s initial treatment effect testing finds that people who received any recovery support service stayed in substance use treatment an average of 27 more days than people who did not receive any recovery services. However, the additional hierarchical regression analysis finds that when controlling for demographic and clinical characteristic covariates, there was no statistically significant difference in treatment length between people who received peer services and the matched no-peer services comparison group. Among people who received recovery support services, each additional session with a certified peer worker predicted an 11% increase in the likelihood of completing substance use treatment. No statistically significant difference was found in the likelihood of completing treatment when comparing people who did and did not receive recovery support services. The post-hoc analysis provides additional findings, including the number of different kinds of peer services provided, years of education, and workforce participation as predictors of both dependent variables among people in the peer services group. The number of previous treatment episodes also had a statistically significant positive association with increased days in treatment among people in the peer services group.
Implications and Conclusion: As the involvement of peers to assist in substance use treatment grows around the United States, this study’s findings support the promise of this trend. Peer support services may be an important part of enhanced treatment engagement. As substance use treatment professionals and agencies look for ways to improve outcomes with clients, this study provides support for the value of peer support involvement in traditional substance use treatment among people who choose to engage with peer support services
EXPLAINING THE LONG-DISTANCE PARENT CAREGIVING BURDEN OF THE UNITED STATES FOREIGN SERVICE AND MILITARY
No full textPurpose: To respond to global trends in aging, healthcare, technology and mobile labor markets, this cross-sectional, correlational study examined the burden of long-distance parent caregivers, or adults coordinating parent care remotely, by using a convenience sample of U.S. active-duty military personnel and Foreign Service Officers. Methods: 79 respondents completed an anonymous online survey containing standardized scales. The relationship between variables was tested using multiple regression analysis and One-way Analysis of Variance (ANOVA). Results: Preparedness for caregiving was negatively correlated with subjective and objective caregiving burden in multiple regression analysis. One-way ANOVA revealed a statistically significant difference in subjective burden based on caregiving intensity. There was also a significant difference in objective burden based on the reason the recipient needed care, but post-hoc analysis found no inter-group differences that passed the Bonferroni adjusted cutoff for significance. Multiple regression analysis demonstrated that the gender of the caregiver, availability of a sibling support network and instrumental support were not significantly correlated with burden. Conclusions and Implications: Preparedness for caregiving had the strongest relationship to distance caregiving burden in this study. Findings may inform intervention strategies to limit the strains of caregiving and support other distance caregiver subgroups, such as other U.S. Government employees and other Americans living overseas. Future longitudinal research is needed to understand causality and the relationship between variables in the long-distance caregiving trajectory over time
PARENTAL SENSE OF AGENCY : A QUALITATIVE STUDY OF PARENTS EXPERIENCES ASSISTING THEIR CHILDREN IN OUTPATIENT COMMUNITY MENTAL HEALTH TREATMENT.
Get PDFParental “Sense of Agency”: A Qualitative Study of Parents Experiences Assisting their Children in Outpatient Community Mental Health Treatment.
ABSTRACT
In the United States, there are approximately 17 million children under the age of 17 that have commonly diagnosed mental health disorders which include ADHD, behavior problems, anxiety, and depression (Bitsko et al., 2019). In efforts to provide access to mental health treatment, there are approximately 11,682 mental health facilities as of 2018, 62% of which are comprised of community mental health centers and outpatient mental health clinics that provide mental health services for children and families (SAMSHA, 2018).
The purpose of this qualitative phenomenological study is to explore the experiences of parents and/or primary caregivers “sense of agency” in reference to working with mental health professionals in outpatient community mental health settings. For the purposes of this study, “sense of agency” is defined as actions that are experienced as voluntary and in which we may not feel as simply happening to us rather, we experience agency when we are in control of our actions (Synofzik et al., 2008; Moore, 2016). The assumption in the study is that parents “sense of agency” is a critical aspect of parents being able to effectively engage and implement evidenced based interventions utilized for their children in outpatient community mental health settings. Furthermore, parents increased or improved “sense of agency” would have a lasting impact on their ability to assist their children with mental health conditions even after their children are no longer receiving mental health treatment. The theoretical framework that was utilized in the study to explore parents “sense of agency” was Bowen’s Family Systems Theory.
The study was comprised of N=10 participants who had one or more children participating in one outpatient clinic in Central Harlem. Parents engaged in a one-hour semi-structured interview which explored their experiences assisting their children in mental health treatment and their interactions with their child, mental health practitioners and other supports. After the study was completed, four major themes emerged. The four themes included: parents locus of control, parental activation, parental attributions, and issues related to the utilization of psychotropic medication by some of the children in the study. These themes impacted parents “sense of agency” in how they were able to engage in their child’s treatment, what they believed were potential causes of their child’s mental health condition, their orientation of control (whether external or internal) in reference to their child’s progress in treatment, as well as, navigating their children’s resistance to psychotropic medication.
Social work practice implications would incorporate interventions that can increase parents “sense of agency”, specifically due to its relational nature which may lead to a transmission of agency to future generations considering the ongoing systemic challenges that families may face in their own communities. The implications for future studies may focus not only on parents “sense of agency” during their child’s mental health treatment but parents “sense of agency” before the start of their child’s treatment process in relation to their capacity to implement interventions that are formulated alongside the mental health practitioner.
Furthermore, studies may seek to follow up with parents after their child’s completion of treatment in efforts to understand parents’ experiences or changes in their “sense of agency” as it relates to their children’s mental health. These studies would further allow to improve the understanding between parents “sense of agency” and long-term outcomes in mental health treatment for their children
Collation Model for LJS 242: Basis grammatice.
Get PDFSummary of Latin grammar arranged in 8 sections for 8 parts of speech, followed by conjugation tables for the 4 conjugations and a commentary on the summary, with the lemmata from the earlier part in red.https://repository.upenn.edu/sims_models/1076/thumbnail.jp
Collation Model for Oversize Ms. Codex 96: [Opuscula varia]
Get PDFCollection of works by Jean Gerson (works 1-11; 21-24), together with a few works not by him. The pastedown in the front of the volume lists its contents, but does not include works 21-24 and the subsequent notes (f. 157v-159v).https://repository.upenn.edu/sims_models/1082/thumbnail.jp
Essays On General Equilibrium
Get PDFThis dissertation develops new general equilibrium results on how markets react to risk and aggregate information.
The first chapter extends a classical result in portfolio theory about the effect of risk on value functions to its effect more generally on policy functions. If odd moments of shocks are zero up to some order, then the odd order marginal effects on value and policy functions of introducing these shocks are zero as well. Mathematically, all coefficients of corresponding odd order in the perturbation parameter are zero. If shocks are symmetric, e.g. normally distributed, then this holds for all odd orders. The main theorem (1) generalizes past results on perturbations and unifies their economic intuition, (2) improves the computation of stochastic coefficients, and (3) illustrates how to derive properties of high order perturbations through simple induction.
The second chapter tries to reconcile classical versions of the efficient market hypothesis with the surveyed level of technical analysis in practice. If past security prices are public information, then any patterns contained within should be approximately accounted for in current prices, and fundamental analysis would be relied on relatively more. While each past security price might individually be public information, the disconnect is that it should not imply their collective patterns and interactions are public information as well. Economics, unlike probability theory, must recognize costs and therefore distinguish between observing pieces of information and analyzing their many interactions. (1) We generalize sigma-fields to families of events and define information more broadly as knowledge about optimization solutions. (2) This provides a new framework for efficiency hypotheses and theorems. (3) We illustrate how complex patterns arise from variably diffuse information that only technical analysts can aggregate indirectly, changing the informational behavior of prices
Structural Studies Of Trpv5 Modulation
Get PDFCalcium homeostasis is a highly regulated process in the body. Transient receptor potential vanilloid 5 (TRPV5) is a calcium selective ion channel that is responsible for the regulation of calcium reabsorption in the kidney. TRPV5 has been shown to be the essential for maintaining this calcium homeostasis and is implicated in disorders including hypercalciuria and kidney stone disease. However, little is known about the structural basis for mechanisms of TRPV5 regulation. Therefore, we aimed to address questions surrounding TRPV5 structure and regulation by solving cryo-electron microscopy (cryo-EM) structures of TRPV5 under various conditions. Specifically, we focused on regulation by low pH and phosphorylation by protein kinase A (PKA) that inhibit and activate TRPV5 respectively. Employing cryo-EM, we were able to structurally evaluate TRPV5 under several low pH conditions along with the activating phospholipid phosphatidylinositol 4,5-bisphosphate (PI(4,5)P2). The structures resolved conformational changes elicited by low pH conditions. Next, we solved the cryo-EM structures of TRPV5 to investigate the effect of PKA phosphorylation. TRPV5 was investigated using a phosphomimic mutation to simulate TRPV5 phosphorylation. Overall, the phosphorylation had little effect on channel structure, but we found that phosphorylation decreases calmodulin (CaM) mediated inactivation. These findings provide a better picture of TRPV5 modulation and will be helpful in the development of therapeutics aimed to address calcium centric pathologies